Special Programs

Blue Cross Complete of Michigan offers special programs that foster improved health and well-being. These programs benefit our members and their families.
A woman using a wheelchair looks at her phone
A woman using a wheelchair looks at her phone

Special health programs

If you have a chronic condition, our special health programs can help. You don’t need a referral to participate. If you have one of the conditions listed here, you can join one of our special programs.

Blue Cross Complete also doesn’t require medical service referrals, but we recommend you talk with your primary care provider to coordinate care. We can help you find a doctor.

As a member of our plan, you may enroll in a special health program if you have:

  • Asthma
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease
  • Diabetes
  • Heart disease
  • Hemophilia
  • Hepatitis C
  • High blood pressure
  • HIV
  • Sickle cell anemia

These programs can help you learn more about your condition so you can manage it. They may also help improve your quality of life. As part of the program, you’ll receive information in the mail. You can request a case manager to assist you with your health care needs.

A case manager is a nurse or social worker who will help you manage your care. A case manager will call you to find out how you're doing. They’ll send you information about your condition, coordinate care with your medical providers and help you with resources you may need to improve your health.

If you have a serious health condition or multiple medical issues, you may enroll in our Complex Care Management program. It provides you with more care to better manage your needs.

The Complex Care Management program can help you:

  • Understand and manage your chronic health conditions.
  • Identify your medical and non-medical needs.
  • Understand your medications.
  • Set goals to improve your health.
  • Find the right doctors and specialists to manage your care.
  • Connect to available resources in your community.

Special health programs

If you have a chronic condition, our special health programs can help. You don’t need a referral to participate. If you have one of the conditions listed here, you can join one of our special programs.

Blue Cross Complete also doesn’t require medical service referrals, but we recommend you talk with your primary care provider to coordinate care. We can help you find a doctor.

As a member of our plan, you may enroll in a special health program if you have:

  • Asthma
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease
  • Diabetes
  • Heart disease
  • Hemophilia
  • Hepatitis C
  • High blood pressure
  • HIV
  • Sickle cell anemia

These programs can help you learn more about your condition so you can manage it. They may also help improve your quality of life. As part of the program, you’ll receive information in the mail. You can request a case manager to assist you with your health care needs.

A case manager is a nurse or social worker who will help you manage your care. A case manager will call you to find out how you're doing. They’ll send you information about your condition, coordinate care with your medical providers and help you with resources you may need to improve your health.

If you have a serious health condition or multiple medical issues, you may enroll in our Complex Care Management program. It provides you with more care to better manage your needs.

The Complex Care Management program can help you:

  • Understand and manage your chronic health conditions.
  • Identify your medical and non-medical needs.
  • Understand your medications.
  • Set goals to improve your health.
  • Find the right doctors and specialists to manage your care.
  • Connect to available resources in your community.

Special Programs

Need a ride?

Blue Cross Complete offers transportation at no cost to medical appointments, pharmacies, durable medical equipment suppliers and more. Our transportation provider can help you get there. Visit our Transportation page to learn more about your transportation benefit and schedule a ride online. To schedule by phone, call 1-800-803-4947 (TTY: 711). You can also get reimbursement for gas mileage if you drive yourself or are driven by a friend or family member.

Questions about special programs?

If you have questions about the programs shown here, talk to your doctor or specialist, or:

Call Customer Service
1-800-228-8554
TTY: 1-888-987-5832
24 hours a day, seven days a week

Write to
Member Services
4000 Town Center, Suite 1300
Southfield, MI 48075

Children's Special Health Care Services (CSHCS)

The state of Michigan's Children's Special Health Care Services provides extra support for children and some adults who have special health care needs. This program is in addition to the medical care your child gets from us.

CSHCS is part of Title V of the Federal Social Security Act. CSHCS helps those with chronic health problems by offering:

  • Coverage and referrals for specialty services.
  • Programs to support you in your role as the primary caretaker of your child.
  • Programs to help you care for your child at home while maintaining normal routines.
  • Programs which demonstrate awareness of cultural differences.
  • Programs to pull together the services of many different providers who work within different agencies.

Children's Special Health Care Services (CSHCS)

The state of Michigan's Children's Special Health Care Services provides extra support for children and some adults who have special health care needs. This program is in addition to the medical care your child gets from us.

CSHCS is part of Title V of the Federal Social Security Act. CSHCS helps those with chronic health problems by offering:

  • Coverage and referrals for specialty services.
  • Programs to support you in your role as the primary caretaker of your child.
  • Programs to help you care for your child at home while maintaining normal routines.
  • Programs which demonstrate awareness of cultural differences.
  • Programs to pull together the services of many different providers who work within different agencies.

Understanding your MIChild benefits

MIChild is a health care program from the Michigan Department of Health and Human Services. It's for uninsured and underinsured kids under the age of 19. These kids are in need of medical, dental, vision, hearing and prescription coverage. There are no copays, coinsurance or deductibles. You pay $10 a month for all of your children who qualify. This applies even if you have more than one child. You can also choose to receive your care from us.

The MIChild program covers the following for kids under 19 years old:

  • Medical, dental, vision and hearing care
  • Emergency room and urgent care
  • Preventive immunizations
  • Diagnostic tests
  • Inpatient hospital care
  • Maternity care
  • Outpatient physical, occupational and speech therapy
  • Prescription drugs

Questions?

If you have questions about MIChild, call:

Customer Service
1-800-228-8554
TTY: 1-888-987-5832
24 hours a day, seven days a week

Freedom to Work

Michigan’s Freedom to Work program expands Medicaid eligibility to disabled adults with earned income. You may have to pay a monthly premium. Eligibility is determined by MDHHS.

Am I eligible for the Freedom to Work program?

To be eligible for the Freedom to Work program, you must:

  • Be age 16 through 64 years old.
  • Meet non-financial and financial factors.
  • Be disabled according to the Social Security Administration disability standards.
  • Be employed on a regular basis.
  • Be below 250% of the federal poverty level.

To learn more, contact your local MDHHS office.

Override Health

Override Health is a chronic pain management program available to members at no cost. This virtual program helps you build a toolbox of mental and physical exercises to help manage your pain. When you enroll, you’re given a specialty care team that may include a pain medicine physician, pain-trained physical therapist, psychologist and certified pain coach.

To learn more or sign up, call the Override Support Line at 1-646-598-8338.

Override Health, a separate company, has a contract with Blue Cross Complete to provide pain management services to certain Blue Cross Complete members.

Video for Override Health, a program for chronic pain management

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